Individual
LOVELL HAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4628 SE 3RD PL, GAINESVILLE, FL 32641-7615
(352) 379-4861
Mailing address
4628 SE 3RD PL, GAINESVILLE, FL 32641-7615
(352) 379-4861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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